A similar area I see is a bunch of businesses in the dubious "letter of medical necessity"-mills. That is, for FSA reimbursement, there are a slew of "dual pur

A similar area I see is a bunch of businesses in the dubious "letter of medical necessity"-mills. That is, for FSA reimbursement, there are a slew of "dual purpose" treatments that can only be reimbursed if you get a letter of medical necessity. E.g. want to just get a massage to feel better? That's not covered. But a doctor says you need it to treat a specific condition? Oh, then it's covered. So basically now there is a cottage industry of companies writing these letters for anyone who asks. But honestly, I just blame the IRS, who created this stupid insanity in the first place. They should just have blanket rules (e.g. all massages in or out), instead of this loophole that is destined to be exploited. Plus, I agree with the critics who say it's just proof that our sick-care system profits on making you sick and then profits on selling the cure. Want to spend money for a healthy diet or an exercise program? That's not covered. But want to spend money on a host of prescription drugs to counter metabolic syndrome? That's covered.